Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves

D.W. Smits; J.W. Gorter; S.E. Hanna; A.J. Dallmeijer; M. van Eck; M.E. Roebroeck; Rimke Vos; P van Schie; J.M. Voorman; J.G. Becher; C. Schuengel; E. Lindeman; M.J. Jongmans; S.S. Tan; DJHG Wiegerink; J. van Meeteren; H.A. Reinders-Messelink; J. Verheijden; x PERRIN Plus Study Group; M. Ketelaar

doi:10.1111/dmcn.12083

Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves

D.W. Smits, J.W. Gorter, S.E. Hanna, A.J. Dallmeijer, M. van Eck, M.E. Roebroeck, Rimke Vos, P van Schie, J.M. Voorman, J.G. Becher, C. Schuengel, E. Lindeman, M.J. Jongmans, S.S. Tan, DJHG Wiegerink, J. van Meeteren, H.A. Reinders-Messelink, J. Verheijden, x PERRIN Plus Study Group, M. Ketelaar

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

AIM: The aim of this study was to describe patterns for gross motor development by level of severity in a Dutch population of individuals with cerebral palsy (CP).

METHOD: This longitudinal study included 423 individuals (260 males, 163 females) with CP. The mean age at baseline was 9 years 6 months (SD 6y 2mo, range 1-22y). The level of severity of CP among participants, according to the Gross Motor Function Classification System (GMFCS), was 50% level I, 13% level II, 14% level III, 13% level IV, and 10% level V. Participants had been assessed up to four times with the Gross Motor Function Measure (GMFM-66) at 1- or 2-year intervals between 2002 and 2009. Data were analysed using non-linear mixed effects modelling. For each GMFCS level, patterns were created by contrasting a stable limit model (SLM) with a peak and decline model (PDM), followed by estimating limits and rates of gross motor development.

RESULTS: The SLM showed a better fit for all GMFCS levels than the PDM. Within the SLM, significant differences between GMFCS levels were found for both the limits (higher values for lower GMFCS levels) and the rates (higher values for GMFCS levels I-II vs level IV and for GMFCS levels I-IV vs level V) of gross motor development.

INTERPRETATION: The results validate the existence of five distinct patterns for gross motor development by level of severity of CP.

Original language	English
Pages (from-to)	378-384
Number of pages	7
Journal	Developmental Medicine and Child Neurology
Volume	55
Issue number	4
DOIs	https://doi.org/10.1111/dmcn.12083
Publication status	Published - Apr 2013

Keywords

Adolescent
Cerebral Palsy
Child
Child Development
Child, Preschool
Female
Humans
Infant
Longitudinal Studies
Male
Motor Skills
Movement Disorders
Netherlands
Psychomotor Performance
Severity of Illness Index
Young Adult

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10.1111/dmcn.12083

http://www.ncbi.nlm.nih.gov/pubmed/23356539

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Smits, D. W., Gorter, J. W., Hanna, S. E., Dallmeijer, A. J., van Eck, M., Roebroeck, M. E., Vos, R., van Schie, P., Voorman, J. M., Becher, J. G., Schuengel, C., Lindeman, E., Jongmans, M. J., Tan, S. S., Wiegerink, DJHG., van Meeteren, J., Reinders-Messelink, H. A., Verheijden, J., PERRIN Plus Study Group, X., & Ketelaar, M. (2013). Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves. Developmental Medicine and Child Neurology, 55(4), 378-384. https://doi.org/10.1111/dmcn.12083

@article{0c1da625ece04cc6bdcf39763e5d7f0e,

title = "Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves",

abstract = "AIM: The aim of this study was to describe patterns for gross motor development by level of severity in a Dutch population of individuals with cerebral palsy (CP).METHOD: This longitudinal study included 423 individuals (260 males, 163 females) with CP. The mean age at baseline was 9 years 6 months (SD 6y 2mo, range 1-22y). The level of severity of CP among participants, according to the Gross Motor Function Classification System (GMFCS), was 50% level I, 13% level II, 14% level III, 13% level IV, and 10% level V. Participants had been assessed up to four times with the Gross Motor Function Measure (GMFM-66) at 1- or 2-year intervals between 2002 and 2009. Data were analysed using non-linear mixed effects modelling. For each GMFCS level, patterns were created by contrasting a stable limit model (SLM) with a peak and decline model (PDM), followed by estimating limits and rates of gross motor development.RESULTS: The SLM showed a better fit for all GMFCS levels than the PDM. Within the SLM, significant differences between GMFCS levels were found for both the limits (higher values for lower GMFCS levels) and the rates (higher values for GMFCS levels I-II vs level IV and for GMFCS levels I-IV vs level V) of gross motor development.INTERPRETATION: The results validate the existence of five distinct patterns for gross motor development by level of severity of CP.",

keywords = "Adolescent, Cerebral Palsy, Child, Child Development, Child, Preschool, Female, Humans, Infant, Longitudinal Studies, Male, Motor Skills, Movement Disorders, Netherlands, Psychomotor Performance, Severity of Illness Index, Young Adult",

author = "D.W. Smits and J.W. Gorter and S.E. Hanna and A.J. Dallmeijer and {van Eck}, M. and M.E. Roebroeck and Rimke Vos and {van Schie}, P and J.M. Voorman and J.G. Becher and C. Schuengel and E. Lindeman and M.J. Jongmans and S.S. Tan and DJHG Wiegerink and {van Meeteren}, J. and H.A. Reinders-Messelink and J. Verheijden and {PERRIN Plus Study Group}, x and M. Ketelaar",

note = "{\textcopyright}The Authors. Developmental Medicine & Child Neurology {\textcopyright} 2013 Mac Keith Press.",

year = "2013",

month = apr,

doi = "10.1111/dmcn.12083",

language = "English",

volume = "55",

pages = "378--384",

journal = "Developmental Medicine and Child Neurology",

issn = "0012-1622",

publisher = "Wiley-Blackwell",

number = "4",

}

Smits, DW, Gorter, JW, Hanna, SE, Dallmeijer, AJ, van Eck, M, Roebroeck, ME, Vos, R, van Schie, P, Voorman, JM, Becher, JG, Schuengel, C, Lindeman, E, Jongmans, MJ, Tan, SS, Wiegerink, DJHG, van Meeteren, J, Reinders-Messelink, HA, Verheijden, J, PERRIN Plus Study Group, X & Ketelaar, M 2013, 'Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves', Developmental Medicine and Child Neurology, vol. 55, no. 4, pp. 378-384. https://doi.org/10.1111/dmcn.12083

TY - JOUR

T1 - Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy

T2 - an investigation of motor growth curves

AU - Smits, D.W.

AU - Gorter, J.W.

AU - Hanna, S.E.

AU - Dallmeijer, A.J.

AU - van Eck, M.

AU - Roebroeck, M.E.

AU - Vos, Rimke

AU - van Schie, P

AU - Voorman, J.M.

AU - Becher, J.G.

AU - Schuengel, C.

AU - Lindeman, E.

AU - Jongmans, M.J.

AU - Tan, S.S.

AU - Wiegerink, DJHG

AU - van Meeteren, J.

AU - Reinders-Messelink, H.A.

AU - Verheijden, J.

AU - PERRIN Plus Study Group, x

AU - Ketelaar, M.

PY - 2013/4

Y1 - 2013/4

N2 - AIM: The aim of this study was to describe patterns for gross motor development by level of severity in a Dutch population of individuals with cerebral palsy (CP).METHOD: This longitudinal study included 423 individuals (260 males, 163 females) with CP. The mean age at baseline was 9 years 6 months (SD 6y 2mo, range 1-22y). The level of severity of CP among participants, according to the Gross Motor Function Classification System (GMFCS), was 50% level I, 13% level II, 14% level III, 13% level IV, and 10% level V. Participants had been assessed up to four times with the Gross Motor Function Measure (GMFM-66) at 1- or 2-year intervals between 2002 and 2009. Data were analysed using non-linear mixed effects modelling. For each GMFCS level, patterns were created by contrasting a stable limit model (SLM) with a peak and decline model (PDM), followed by estimating limits and rates of gross motor development.RESULTS: The SLM showed a better fit for all GMFCS levels than the PDM. Within the SLM, significant differences between GMFCS levels were found for both the limits (higher values for lower GMFCS levels) and the rates (higher values for GMFCS levels I-II vs level IV and for GMFCS levels I-IV vs level V) of gross motor development.INTERPRETATION: The results validate the existence of five distinct patterns for gross motor development by level of severity of CP.

AB - AIM: The aim of this study was to describe patterns for gross motor development by level of severity in a Dutch population of individuals with cerebral palsy (CP).METHOD: This longitudinal study included 423 individuals (260 males, 163 females) with CP. The mean age at baseline was 9 years 6 months (SD 6y 2mo, range 1-22y). The level of severity of CP among participants, according to the Gross Motor Function Classification System (GMFCS), was 50% level I, 13% level II, 14% level III, 13% level IV, and 10% level V. Participants had been assessed up to four times with the Gross Motor Function Measure (GMFM-66) at 1- or 2-year intervals between 2002 and 2009. Data were analysed using non-linear mixed effects modelling. For each GMFCS level, patterns were created by contrasting a stable limit model (SLM) with a peak and decline model (PDM), followed by estimating limits and rates of gross motor development.RESULTS: The SLM showed a better fit for all GMFCS levels than the PDM. Within the SLM, significant differences between GMFCS levels were found for both the limits (higher values for lower GMFCS levels) and the rates (higher values for GMFCS levels I-II vs level IV and for GMFCS levels I-IV vs level V) of gross motor development.INTERPRETATION: The results validate the existence of five distinct patterns for gross motor development by level of severity of CP.

KW - Adolescent

KW - Cerebral Palsy

KW - Child

KW - Child Development

KW - Child, Preschool

KW - Female

KW - Humans

KW - Infant

KW - Longitudinal Studies

KW - Male

KW - Motor Skills

KW - Movement Disorders

KW - Netherlands

KW - Psychomotor Performance

KW - Severity of Illness Index

KW - Young Adult

U2 - 10.1111/dmcn.12083

DO - 10.1111/dmcn.12083

M3 - Article

C2 - 23356539

SN - 0012-1622

VL - 55

SP - 378

EP - 384

JO - Developmental Medicine and Child Neurology

JF - Developmental Medicine and Child Neurology

IS - 4

ER -

Longitudinal development of gross motor function among Dutch children and young adults with cerebral palsy: an investigation of motor growth curves

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Keywords

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